Active NPI
Anita Ann Frykberg, MS, L.AC.
- Acupuncturist
- Auburn, CA
National Provider Identifier
1407620313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 19460
- Practice address
- 1010 Racquet Club Dr Ste 105
Auburn, CA 95603-3060 - Phone
- (530) 888-0842
- NPI assigned
- Nov 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 19460 | CA | Primary |
Addresses
Primary practice location
1010 Racquet Club Dr Ste 105
Auburn, CA 95603-3060
Mailing address
5685 Fawnridge Rd
Auburn, CA 95602-9246
Phone (707) 360-8265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19460 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyon Health Center | Acupuncturist | Current | Accepting new patients |
Locations
1010 Racquet Club Dr
Ste 105
Auburn, CA 95603
Phone (530) 888-0842
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Auburn, CA
- NPI 1306429121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1407620313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5685 FAWNRIDGE RD",
"city": "AUBURN",
"state": "CA",
"postal_code": "956029246",
"telephone_number": "707-360-8265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 RACQUET CLUB DR STE 105",
"city": "AUBURN",
"state": "CA",
"postal_code": "956033060",
"telephone_number": "530-888-0842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYKBERG",
"first_name": "ANITA",
"middle_name": "ANN",
"credential": "MS, L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-10",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "19460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.